Patient Accounts Representative

Georgia Hand, Shoulder &ElbowAtlanta, GA
18h

About The Position

The Patient Accounts Representative will provide support to the billing department and revenue cycle for GHSE, GSCP.

Requirements

  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Ability to prioritize tasks.
  • Ability to create and present ideas in a variety of formats.
  • Ability to maintain confidential records.
  • Proficient with Microsoft Office Suite or related software.
  • Three years of billing and coding experience required.
  • 1 year of orthopedic, surgical and ASC experience.
  • Knowledge of worker’s compensation and Medicare reimbursement practices in an orthopedic and ASC setting.
  • Prolonged periods sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.

Nice To Haves

  • Knowledge of the philosophy, mission, leadership needs, and planning requirements of the organization preferred.

Responsibilities

  • Troubleshoot and problem solve accounts
  • Posting of private and insurance payments/vouchers
  • Completing adjustments to patient accounts
  • Updating of patient insurance information, including memo entry for billing documentation
  • Customer service - answer billing inquiries from patients and/or healthcare providers
  • Submit refunds for patient or insurance over-payments to Billing Manager for review
  • Follow collection process; includes written and verbal correspondence with patients on unpaid claims.
  • Write protest/appeal letters to insurance companies.
  • Rebill accounts
  • Ability to interpret EOBs and resolve errors.
  • Knowledge of various fee schedules for carriers.
  • Make recommendations for process revisions or improvement initiatives under direction of the Billing Manager
  • Provide support and assist in the resolution of patient account issues and payment plan arrangements, report to Billing Manager the same day.
  • Create chart, enter data, insurance and post charges as necessary.
  • Maintain HIPAA compliance.
  • Performs other duties as assigned.
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